<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625060
Report Date: 03/25/2024
Date Signed: 03/25/2024 11:40:03 AM

Document Has Been Signed on 03/25/2024 11:40 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:VEGA FLORES, MARIAFACILITY NUMBER:
343625060
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
03/25/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Vega Flores, MariaTIME COMPLETED:
11:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPAs) Loraine Perez and Michelle Perez met with Licensee, Maria Vega Flores (Licensee) at approximately 8:30 AM, for the purpose of conducting an unannounced complaint investigation inspection. Upon arrival, LPAs observed 2 infants and 4 preschoolers in care.
Upon entering the home an infant was in a car seat for the duration of approximately 10 minutes. LPA spoke with Licensee about removing the child from the car seat at arrival. The Licensee explained that the infant was awake and had just arrived and will spend time in the car seat to warm up before Licensee brings the infant out LPAs explained the infant must be removed from the car seat and may not sleep or nap in a car seat. The Licensee then removed the infant from the car seat.

Based on LPAs observation this is a Type A deficiency. Deficiency is record on an LIC809D

The Licensee was informed that this report dated 3/25/2024 documents one Type A citation and must be posted for parental review for 30 consecutive days. The facility must also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in each child's file for verification.



Exit interview was conducted and a copy of this report was given to the Licensee Maria Vega Flores. Notice of site was given and must remain posted for parental review for 30 days. Appeal rights were provided.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE: DATE: 03/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 03/25/2024 11:40 AM - It Cannot Be Edited


Created By: Loraine Perez On 03/25/2024 at 09:56 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: VEGA FLORES, MARIA
FACILITY NUMBER: 343625060

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/26/2024
Section Cited
CCR
102425(h)

1
2
3
4
5
6
7
Car seats shall only be used for transportation purposes and shall not be used for sleeping.

This was not evidenced by LPA witnessing an infant in a car seat for 10 minutes upon arrival.
1
2
3
4
5
6
7
LPA explained regulations with Licensee and infant was removed from car seat immediately.
8
9
10
11
12
13
14
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Amanda Blesi
LICENSING EVALUATOR NAME:Loraine Perez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2